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Version: 1.0.0 Last Updated: 2026-02-17 Constitution Reference: Section 1.2 (Core Independence), Section 1.3 (Integration Patterns) Source: CL-PM-SPEC-REVIEW Finding 5.2

Overview

Referrals involve both clinical coordination (CL-12) and business operations (PM-06). This contract defines the ownership boundary and integration pattern.

Ownership Boundaries

Principle: PM-06 owns the referral entity. CL-12 adds clinical context by linking transitions to referrals through the Platform Integration Layer.

Integration Pattern

Event: referral_accepted

Publisher: PM-06 Subscribers: CL-12 Channel: cl_pm_events When a referral is accepted (status → accepted), CL-12 receives the event to:
  1. Create a cl_transitions record (type = referral)
  2. Trigger discharge checklist if outbound referral
  3. Trigger medication reconciliation
  4. Generate C-CDA transition summary (via CL-16)

Data Linkage

CL-12 cl_transitions references the PM-06 referral through the Platform Integration Layer:

Workflow: Outbound Referral with Clinical Transition


Cross-Reference